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An Update on the Independent Plastic Surgery Match (2019-2022): Trends, Predictors, and Program Leaders'

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Plastic surgery residency programs are declining despite rising applicant numbers, making matches more competitive. Key factors for success include more interviews and strong academic performance, though program leaders show mixed commitment to the independent track.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Residency Matching

Background:

  • Independent plastic surgery residency programs have seen a decline in participation.
  • Applicant interest in these programs has been steadily increasing.
  • This study updates trends and identifies predictors of success in the independent plastic surgery match.

Purpose of the Study:

  • To analyze plastic surgery match data from 2019-2022.
  • To identify key variables influencing match success.
  • To gather program leaders' perspectives on the future of the independent track.

Main Methods:

  • Analysis of match data from the San Francisco match (2019-2022).
  • Statistical analysis of variables impacting match success.
  • Survey of program leaders regarding applicant traits and program trajectories.

Main Results:

  • Match rates decreased from 82% to 56% between 2019-2022, with a 10% decline in programs and 9.5% in positions.
  • Successful matches were associated with US allopathic graduates, university-affiliated general surgery residencies, 8+ interviews, USMLE scores >230, and high ABSITE scores.
  • Osteopathic graduates doubled, and international graduates increased to 53.8% of matched applicants.

Conclusions:

  • The independent plastic surgery track faces intensified competition due to declining programs and rising applicants.
  • Increasing the number of interviews significantly improves match potential.
  • Program leaders exhibit varied commitment, with some planning to discontinue the independent track, while applicant evaluation emphasizes recommendations, research, and test scores.